| NPI | 1962380352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 2025062277) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TN 165975) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-09-24 |